Provider Demographics
NPI:1821034752
Name:CLAPP, KAREN (APN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:CLAPP
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:BUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3860 W OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-2460
Mailing Address - Country:US
Mailing Address - Phone:773-843-3601
Mailing Address - Fax:773-843-2705
Practice Address - Street 1:3860 W OGDEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-2460
Practice Address - Country:US
Practice Address - Phone:773-843-3601
Practice Address - Fax:773-843-2705
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-003600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL580320Medicare PIN
ILP05292Medicare PIN